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Hyperthyroidism is a condition in which an overactive thyroid gland is producing an excessive amount of thyroid hormones that circulate in the blood. ("Hyper" means "over" in Greek). Thyrotoxicosis is a toxic condition that is caused by an excess of thyroid hormones from any cause. Thyrotoxicosis can be caused by an excessive intake of thyroid hormone or by overproduction of thyroid hormones by the thyroid gland. Because both physicians and patients often use these words interchangeably, we will take some liberty by using the term "hyperthyroidism" throughout this article.
Thyroid hormones stimulate the metabolism of cells. They are produced by the thyroid gland. The thyroid gland is located in the lower part of the neck, below the Adam's apple. The gland wraps around the windpipe (trachea) and has a shape that is similar to a butterfly formed by two wings (lobe...
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SODIUM IODIDE I 131
(sodium iodide, i-131) Capsule
Sodium Iodide 131 (Na 131I) for diagnostic use is supplied for oral administration in opaque white gelatin capsules. The capsules are available in a strength of 3.7 megabecquerels (100 microcuries) iodine I-131 at the time of calibration.
Sodium Iodide I 131 (sodium iodide i 131 (sodium iodide i 131 capsules) capsules) Capsules are prepared by absorbing a solution of carrier-free sodium iodide I-131 into inert fillers. The iodine I-131 utilized in the preparation of the capsules contains not less than 99% iodine I-131 at the time of calibration.
Iodine I-131 decays by beta and associated gamma emissions with a physical half-life of 8.04 days.1 The principle beta emissions and gamma photons are listed in Table 1.
Table 1. Principal Radiation Emission Data
| Radiation | Mean Percent Per Disintegration |
Energy (keV) |
| Beta-1 | 2.12 | 69.4 Avg. |
| Beta-3 | 7.36 | 96.6 Avg. |
| Beta-4 | 89.3 | 191.6 Avg. |
| Gamma-7 | 6.05 | 284.3 |
| Gamma-14 | 81.2 | 364.5 |
| Gamma-17 | 7.26 | 637.0 |
The specific gamma ray constant for iodine I-131 is 2.27 R/hr-mCi at 1 cm. The first half-value thickness of lead (Pb) for iodine I-131 is 0.24 cm. A range of values for the relative attenuation of the radiation emitted by this radionuclide that results from interposition of various thicknesses of Pb is shown in Table 2. For example, the use of 4.6 cm of Pb will decrease the external radiation exposure by a factor of about 1,000.
Table 2. Radiation Attenuation by Lead Shielding*
| Shield Thickness (Pb), cm | Coefficient of Attenuation |
| 0.24 | 0.5 |
| 0.95 | 10-1 |
| 2.6 | 10-2 |
| 4.6 | 10-3 |
| 6.5 | 10-4 |
| *Data supplied by Oak Ridge Associated Universities, Radiopharmaceutical Internal Dose Information Center, Oak Ridge, TN, 1987. | |
To correct for physical decay of this radionuclide, the fractions that remain at selected time intervals after the date of calibration are shown in Table 3.
Table 3. Physical Decay Chart, Iodine I-131, Half Life 8.04 Days
| Days | Fraction Remaining | Days | Fraction Remaining |
| 0* | 1.000 | 16 | 0.252 |
| 1 | 0.917 | 17 | 0.231 |
| 2 | 0.842 | 18 | 0.212 |
| 3 | 0.772 | 19 | 0.194 |
| 4 | 0.708 | 20 | 0.178 |
| 5 | 0.650 | 21 | 0.164 |
| 6 | 0.596 | 22 | 0.150 |
| 7 | 0.547 | 23 | 0.138 |
| 8 | 0.502 | 24 | 0.126 |
| 9 | 0.460 | 25 | 0.116 |
| 10 | 0.422 | 26 | 0.106 |
| 11 | 0.387 | 27 | 0.098 |
| 12 | 0.355 | 28 | 0.089 |
| 13 | 0.326 | 29 | 0.082 |
| 14 | 0.299 | 30 | 0.075 |
| 15 | 0.274 | ||
| *Calibration Day | |||
1Kocher, David C., “Radioactive Decay Data Tables,” DOE/TIC 11026, page 133 (1981).
Last reviewed on RxList: 5/19/2009
This monograph has been modified to include the generic and brand name in many instances.
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